Provider Demographics
NPI:1235458662
Name:HIS STRIPES HEALTHCARE SERVICES PLLC
Entity Type:Organization
Organization Name:HIS STRIPES HEALTHCARE SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMIN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VICTORIA
Authorized Official - Middle Name:NGOZI
Authorized Official - Last Name:IWUOHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-261-8367
Mailing Address - Street 1:500 N CENTRAL EXPY STE 500
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074-6703
Mailing Address - Country:US
Mailing Address - Phone:972-261-8327
Mailing Address - Fax:
Practice Address - Street 1:500 N CENTRAL EXPY STE 500
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074-6703
Practice Address - Country:US
Practice Address - Phone:972-261-8327
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-05-25
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No251E00000XAgenciesHome Health
No251T00000XAgenciesProgram of All-Inclusive Care for the Elderly (PACE) Provider Organization
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care